Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | F1-0000663 | DE |
NPI | 1316149677 |
---|---|
Provider Name | Dr. Jill Pagliei |
First Address | Media, PA 19063-1905 |
Second Address | Claymont, DE 19703-1777 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 12/05/2008 |